MIP 2012 Registration

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Registration for MIP 2012 is now open.

First Name *

Last Name *

Name to be printed on the badge

By default this will be your first and last name

Email *

Webpage

Status *

Student

Postdoc

Professor

Industry Professional

Other:

Affiliation *

Will you attend the conference dinner ? *

More information about the dinner can be found under "Program" on the MIP 2012 website

Yes

If you plan to attend the dinner, what type of entree would you like ? *

We will not make your choice for the menu public

Chicken

Fish

Vegetarian

If you will attend the dinner, how many guests will you bring?

(Number of additional guests, besides yourself. If you don't answer, we will assume you will bring 0 guests)

Do you allow us to publish your submitted information? *

The purpose of this is to have a public list of participants available.

Yes

Submit

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